| Organization Name: | HOSPICE ADVANTAGE, LLC |
| NPI Number: | 1306883947 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA BARUTHA (ADMINISTRATOR) |
| Mailing Address: | 1155 Quail Ct Pewaukee |
| State: | WI US |
| Postal Code: | 530723780 |
| Phone Number: | 2627869002 |
| Fax Number: | 2627869003 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 01/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |